MEDICARE: DR. LOUIS HECTOR ESQUIVEL MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	H2363	TX

General Provider Information

NPI Number	:	1760472682
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LOUIS HECTOR ESQUIVEL MD

Provider Business Mailing Address
First Line	:	3740 COLONY DR
Second Line	:	SUITE LL102
City	:	SAN ANTONIO
State	:	TX
Zip	:	78230-2234
Country	:	US
Telephone Number	:	210-745-0918
Fax Number	:	210-745-0590

Provider Business Practice Location Address
First Line	:	3740 COLONY DR
Second Line	:	SUITE LL102
City	:	SAN ANTONIO
State	:	TX
Zip	:	78230-2234
Country	:	US
Telephone Number	:	210-745-0918
Fax Number	:	210-745-0590

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/22/2005
Last Update Date	:	07/21/2014

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